Mahapatra, Dibyajiban

Mahapatra, Dibyajiban is an individual health care provider with primary practice located at 185 Whitesport Dr Sw Suite - 7, Huntsville AL 35801-6486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mahapatra, Dibyajiban can be contacted via phone (256) 883-6966.

Contact Information

Primary practice address
185 Whitesport Dr Sw Suite - 7 Huntsville AL 35801-6486
Phone: (256) 883-6966
Fax: (256) 883-6432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20939 Alabama

Profile Details

NPI number 1639163769
LBN Legal business name Mahapatra, Dibyajiban
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2005
Last updated Sep 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639163769 NPPES
Alabama MEDICAID 051507491
Alabama Other 051507491

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